KIDS R KIDS OF BLAKENEY

General Comment: 15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below. Observed Toddler 1 fridge containing bulk milks reading an ambient temperature of 52F. Refrigerated items had recently been added to fridge. Refrigerator temperature was adjusted and milks were moved to the kitchen refrigerator.

15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day. Observed one child’s lunch box and Juice in Toddler 2 missing labels. Needs name and date received. 15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. Observed specialty bulk milks in kitchen refrigerator and Toddler 2 refrigerator missing date received labels. CDI- Date received labels were added.

General Comment: 15A NCAC 18A .2806 (j) (1) Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Observed thermometer missing from Toddler 2 refrigerator. Needs thermometer.

General Comment: 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed one bottle warmer in infant classroom in need of cleaning.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed gouge in toilet seat in Preschool Prep 1 classroom bathroom. Needs replacement.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed Prek closet stored unlocked and window cleaner and goo gone stored on shelf inside closet. Observed wood glue stored in drawer in cafeteria space. Needs to be stored behind lock and key.

15A NCAC 18A .2824 (a). Floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Observed cleaning needed to flooring in dry storage area of kitchen pantry. -General comment.

15A NCAC 18A .2832 (a). Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Observed dilapidated furniture within dumpster enclosure area. Observed minot litter outside of dumpster.

General Comment: 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. Observed two sets of bottles in infant rooms missing date labels. Needs date labels.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed peeling toilet seat in last classroom. Needs repair/replacement. REPEAT.

15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands. Observed staff in infant rooms missing date complete diaper change and miss step 5 of the process. Needs to follow proper procedure.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed pledge aerosols stored in unlocked cabinet in infant classroom. Cabinet lock was broken. CDI - lock was repaired during inspection.

15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. Observed specialty milk brought from children’s home not labeled with date in 2’s classroom full sized refrigerator and in kitchen.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seat in 3’s classroom. -General comment.

15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed minor stained ceiling tile near rear exit door. EHS advises center to ensure no active leak is occurring and to have stained ceiling tile replaced. -General comment.

15A NCAC 18A .2832 (a). Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Observed dilapidated furniture and structure stored in dumpster enclosure area. Remove.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. Observed opened package of chips closed with tape in pantry of kitchen.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed 1 loose toilet seat in classroom suite 250.

15A NCAC 18A .2818 (e) Handwash signs shall be posted at every handwash lavatory area. The signs shall instruct children and child care center employees to wash their hands in accordance with Rule .2803. Observed no handwash sign at handsink in girls restroom in after school classroom.

15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed a stained ceiling tile in after school classroom and classroom suite 450. EHS advises center to ensure no active leak is occurring and to have stained ceiling tiles replaced. (Per owner, a work order has been submitted to have issue repaired).

15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed litter outside of dumpster and dilapidated toys/furniture.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. Observed graham crackers and cereal opened and not properly resealed in pantry of kitchen. 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. Observed 1 container of specialty milk not labeled with date, only child’s name in domestic refrigeration unit in kitchen.

15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule. Observed thermometer that childcare center has not thin probe and also not accurate within 3F of EHS calibrated thermometer. EHS advises center to obtain a thin probe food thermometer.

15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. Per conversation with teachers, highchair feeding trays are cleaned in place after each feeding. EHS advises center to follow notated rule.

15A NCAC 18A .2818 (e) Handwash signs shall be posted at every handwash lavatory area. The signs shall instruct children and child care center employees to wash their hands in accordance with Rule .2803 Observed 1 handwashing sign missing from handsink located in girls after school restroom.

15A NCAC 18A.2803 (e). Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Observed 1 staff member turn off water with hand.

15A NCAC 18A .2818 (e) Handwash signs shall be posted at every handwash lavatory area. The signs shall instruct children and child care center employees to wash their hands in accordance with Rule .2803. Observed several classrooms with missing hand wash signs

15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food. Observed unlocked Benadryl in 2’s classroom

Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. 15A NCAC 18A .2820 (f). Observed therapist’s purse on counter in infant 1 class. Items must be stored properly regardless of who owns it Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed hand lotion unlocked and < 5 feet in infant 1 and 2. Observed diaper creams unlocked and < 5 feet in 2’s class.

All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b). Observed frayed sleeping mats throughout facility

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed wooden stools with damaged paint, several areas. Observed several frayed vinyl mats/climbers in infant and toddler classes

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed cracked window (exterior pane) in 2’s class. Needs replacing.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed several dusty vents.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed trash on the ground outside dumpster.